Provider Demographics
NPI:1376978049
Name:FRAME, LYNN ALCORN (RN, PHN)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:ALCORN
Last Name:FRAME
Suffix:
Gender:F
Credentials:RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 CLOVER LN
Mailing Address - Street 2:UNIT A
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-2437
Mailing Address - Country:US
Mailing Address - Phone:952-649-7930
Mailing Address - Fax:651-207-6897
Practice Address - Street 1:4401 CLOVER LN
Practice Address - Street 2:UNIT A
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-2437
Practice Address - Country:US
Practice Address - Phone:952-649-7930
Practice Address - Fax:651-207-6897
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN20195163W00000X
MNR2053725163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse